This is an often overlooked
yet critical part of a review. A full 80% of both Optometrists and
Ophthalmologists are either not creating an Interpretation and Report or not
doing a proper report. We will review those procedures requiring an
Interpretation and Report and validate that a proper report was created and
available.

Clearly if you are not doing
Interpretation and Reports, you would be hit very hard. The problem is those
doctors who document Findings and consider that an Interpretation and Report.
There are very specific requirements for Interpretation and Reports which are
far more comprehensive than simply documenting findings.

An audit
which uncovers reports with only findings will always result in return of full
reimbursement for the procedure Plus Penalties Plus Interest.

What makes this especially
critical is that Medicare is auditing specifically for Interpretation and
Reports. We have seen throughout the country solo practitioners being assessed
$40,000 to $50,000 or more simply for not having proper Interpretation and
Reports.

Whether in a solo practice
or a practice of multiple doctors, this assessment for missing or incomplete
Interpretation and Reports will be very costly.